OrganizationActive
Illinois Compounding Pharmacy Inc
NPI 1760283410 · Compounding Pharmacy · Libertyville, IL
Provider details
- NPI number
- 1760283410
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tushar Mehta, Pharmacy Manager(630) 430-3663
Specialties & taxonomies
Suppliers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1117 S Milwaukee Ave Ste A2
Libertyville, IL 60048-3754
Phone: (847) 242-8281
Fax: (847) 232-7425
Street-level locationGet directions
Mailing address
310 Ottawa Ln
Oak Brook, IL 60523-2788
Registry dates
- Enumerated
- 2025-03-20
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.